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Granisetron (Kytril)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Granisetron

What it is

Granisetron is an anti-sickness medicine of the 5-HT3 antagonist group: it blocks serotonin receptors in the gut and the brain's vomiting centre. It is used to prevent nausea and vomiting caused by chemotherapy, radiotherapy and surgery, as tablets, injection or a skin patch. It is sold as Kytril and Sancuso, among other names.

How genes come into it

Unlike ondansetron and tropisetron, granisetron is broken down mainly by CYP3A4 rather than CYP2D6, so the CPIC guideline on CYP2D6 and the 5-HT3 antagonists does not apply to it. Studies have looked at the transporters ABCB1 and ABCG2, the serotonin receptor genes HTR3B and HTR3C, and the substance P receptor TACR1 for how well it prevented vomiting. The findings come from single or a few studies.

What research found

Every published finding on gene variants and Granisetron. Upload your DNA file to see which of these rows apply to you.

Rated evidence (6 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

ABCB1 rs1045642: Level 3. Efficacy: Neoplasms. 2.

NOS1AP rs10494366: Level 3. Toxicity. 1.

ERCC1 rs3212986: Level 3. Efficacy: Nausea, Neoplasms, Vomiting. 1.

CYP1A1 CYP1A1*1, CYP1A1*2A: Level 3. Metabolism/PK. 1.

Metabolism (2 findings)

Studies of how quickly the body processes this medication.

CYP1A1 CYP1A1*1, CYP1A1*2A: CYP1A1 *2A is associated with increased clearance of granisetron as compared to CYP1A1 *1/*1.

CYP3A5 CYP3A5*1, CYP3A5*3: CYP3A5 *3/*3 is associated with decreased clearance of granisetron as compared to CYP3A5 *1/*1 + *1/*3.

Response (19 findings)

Studies of how well it worked in people carrying a variant.

ABCB1 rs1045642: Genotype AA is associated with increased response to granisetron in people with Nausea and Vomiting as compared to genotypes AG + GG.

ERCC1 rs3212986: Genotypes AC + CC are associated with increased response to granisetron or palonosetron in people with Nausea and Vomiting as compared to genotype AA.

ABCB1 rs1045642: Genotype AA is not associated with response to granisetron or palonosetron in people with Nausea and Vomiting as compared to genotypes AG + GG.

ABCB1 rs1128503: Genotype AA is not associated with response to granisetron or palonosetron in people with Nausea and Vomiting as compared to genotypes AG + GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Aloxi (5-HT3 Antagonists)

Anzemet (5-HT3 Antagonists)

Navoban (5-HT3 Antagonists)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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